Almost Famous Dance Studio Online Registration

Registration

Already a customer? Click here to login.

Welcome to Almost Famous Dance & Gymnastics! Please complete the following registration form. Please use students age/grade for the class options below for 2022-2023 season. Age 2- Moovin & Groovin Age 3- Teeny 4/5 Year Old Preschool-Tiny K-2nd Grade-Mini 3-5th Grade-Junior 6-12th Grade-Teen/Senior *Intermediate/Advanced Classes need pre-approval.

* denotes required fields

Referral Information

How did you hear about us?*

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Home or Primary Phone*

Additional Info

Emergency Contact Info (Not Contact #1 or #2)*

Contact #1

Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

Home Phone

Work #

Cell # *

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Who is your employer?

Employer*

Employer Phone*

Employer Notes

Contact #2

Contact #2 First Name

Last Name

Type

How can we contact you?

Home Phone

Work #

Cell #

Email (Emails are kept confidential)

Confirm Email

Who is your employer?

Employer

Employer Phone

Employer Notes

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Cell #

Additional Info

Student Email

School

Grade Level*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Please click on the Search button below, then choose the class.

Main Location -Monticello

Dy Location -Dyersville

Both Locations-is for competition dance.

Our classes go off of age/Grade Fall of 2022.

*Age 2-Moovin & Groovin

*Age 3-Teeny

*Grade PreK4-Tiny (Three year old preschoolers should enroll in Teeny)

*Grades K-2nd-Mini

*Grades 3-5th-Junior

*Grades 6-9th Teen

*Grades 10-12th Senior

Intermediate & Advanced Classes need pre-approval based on skill level.

Any Questions please reach out to us at Almost Famous by phone (319) 465-4111 or email almostfamousdance@gmail.com

Thank you.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Cell #

Additional Info

Student Email

School

Grade Level*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Please click on the Search button below, then choose the class.

Main Location -Monticello

Dy Location -Dyersville

Both Locations-is for competition dance.

Our classes go off of age/Grade Fall of 2022.

*Age 2-Moovin & Groovin

*Age 3-Teeny

*Grade PreK4-Tiny (Three year old preschoolers should enroll in Teeny)

*Grades K-2nd-Mini

*Grades 3-5th-Junior

*Grades 6-9th Teen

*Grades 10-12th Senior

Intermediate & Advanced Classes need pre-approval based on skill level.

Any Questions please reach out to us at Almost Famous by phone (319) 465-4111 or email almostfamousdance@gmail.com

Thank you.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Cell #

Additional Info

Student Email

School

Grade Level*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Please click on the Search button below, then choose the class.

Main Location -Monticello

Dy Location -Dyersville

Both Locations-is for competition dance.

Our classes go off of age/Grade Fall of 2022.

*Age 2-Moovin & Groovin

*Age 3-Teeny

*Grade PreK4-Tiny (Three year old preschoolers should enroll in Teeny)

*Grades K-2nd-Mini

*Grades 3-5th-Junior

*Grades 6-9th Teen

*Grades 10-12th Senior

Intermediate & Advanced Classes need pre-approval based on skill level.

Any Questions please reach out to us at Almost Famous by phone (319) 465-4111 or email almostfamousdance@gmail.com

Thank you.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Cell #

Additional Info

Student Email

School

Grade Level*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Please click on the Search button below, then choose the class.

Main Location -Monticello

Dy Location -Dyersville

Both Locations-is for competition dance.

Our classes go off of age/Grade Fall of 2022.

*Age 2-Moovin & Groovin

*Age 3-Teeny

*Grade PreK4-Tiny (Three year old preschoolers should enroll in Teeny)

*Grades K-2nd-Mini

*Grades 3-5th-Junior

*Grades 6-9th Teen

*Grades 10-12th Senior

Intermediate & Advanced Classes need pre-approval based on skill level.

Any Questions please reach out to us at Almost Famous by phone (319) 465-4111 or email almostfamousdance@gmail.com

Thank you.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Cell #

Additional Info

Student Email

School

Grade Level*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Please click on the Search button below, then choose the class.

Main Location -Monticello

Dy Location -Dyersville

Both Locations-is for competition dance.

Our classes go off of age/Grade Fall of 2022.

*Age 2-Moovin & Groovin

*Age 3-Teeny

*Grade PreK4-Tiny (Three year old preschoolers should enroll in Teeny)

*Grades K-2nd-Mini

*Grades 3-5th-Junior

*Grades 6-9th Teen

*Grades 10-12th Senior

Intermediate & Advanced Classes need pre-approval based on skill level.

Any Questions please reach out to us at Almost Famous by phone (319) 465-4111 or email almostfamousdance@gmail.com

Thank you.

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Please fill out ONE of the following Payment Methods

Credit Card

Card Number

Exp Month

Exp Year

Card Nickname

Name as it appears on card

Address Line 1

Address Line 2

City

State

Zip

eCheck/Bank Draft

Bank Name

Account Type

Your Account Name (Your name on your bank statement)

Bank Routing Number (9-digit number)

Account Number

Jackrabbit Technologies' class management platform & registration portal is trusted by 1000s of
dance studios , gyms , swim schools , music schools , cheer gyms , childcare centers , and more .

Registration

Referral Information

Family Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Who is your employer?

Contact #2

How can we contact you?

Who is your employer?

Student #1

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #3 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #4 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #5 (Show-Hide Details)

Additional Info

Enroll in Classes

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Credit Card

eCheck/Bank Draft

Required Policies

(Show-Hide Details)